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Feasibility of Using the Helping Alliance Questionnaire II as a Self-Report Measure for Individuals with a Psychiatric Disorder Receiving Music Therapy.

Abstract

Background

No specific instrument has been developed for measuring alliance during music therapy.

Objective

To evaluate the feasibility of using the Helping Alliance Questionnaire II (HAq-II) as a self-report measure for individuals receiving treatment for a psychiatric disorder. Specifically, we examined the percent of patients who filled out the questionnaire, and when completed, whether there were any missing items. We also examined internal consistency and associations between patient variables and HAq-II scores.

Methods

Between October 2013 and April 2014, we invited 45 individuals with a psychiatric disorder, who were also receiving music therapy, to fill out the HAq-II. We also collected clinical data from each person's record.

Results

Thirty-one (69%) of the 45 invited patients filled out the HAq-II, and of those completed, only three had missing items. Of the 45 invited patients, thirty (67%) had a diagnosis of schizophrenia or other psychotic disorders, and 11 (24%) were diagnosed with other psychiatric disorders. In terms of diagnosis and other clinical variables, no statistically significant differences were found between the 31 patients who filled out the HAq-II and the 14 patients who did not return the questionnaire. The median HAq-II score was 5.11 (range 3.74-6.00), indicating a relatively high alliance. We did not find any statistically significant associations between the HAq-II scores and potential predictors of interest. The Cronbach's alpha was 0.85.

Conclusions

Completion of the HAq-II was fairly high in this group of individuals with psychiatric diagnoses who were receiving music therapy. Internal consistency of the HAq-II was acceptable. Relatively high HAq-II scores suggest a high degree of therapeutic alliance, but the external validity of the HAq-II and the relationship between scores and therapy needs further evaluation.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Aalborg University Hospital, Psychiatry. Aalborg University, Institute for Communication and Psychology.

    ,

    Aalborg University Hospital, Psychiatry.

    ,

    Aalborg University Hospital, Psychiatry.

    Aalborg University Hospital, Psychiatry. Aalborg University, Department of Clinical Medicine.

    Source

    Journal of music therapy 54:3 2017 Nov 01 pg 287-299

    MeSH

    Adult
    Cooperative Behavior
    Feasibility Studies
    Female
    Humans
    Male
    Mental Disorders
    Middle Aged
    Music Therapy
    Self Report
    Surveys and Questionnaires

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    28992114

    Citation

    TY - JOUR T1 - Feasibility of Using the Helping Alliance Questionnaire II as a Self-Report Measure for Individuals with a Psychiatric Disorder Receiving Music Therapy. AU - Hannibal,Niels, AU - Domingo,Maria Rodrigo, AU - Valentin,Jan B, AU - Licht,Rasmus W, PY - 2017/10/11/pubmed PY - 2017/12/16/medline PY - 2017/10/10/entrez KW - feasibility KW - helping alliance KW - measurement KW - music therapy KW - psychiatry SP - 287 EP - 299 JF - Journal of music therapy JO - J Music Ther VL - 54 IS - 3 N2 - Background: No specific instrument has been developed for measuring alliance during music therapy. Objective: To evaluate the feasibility of using the Helping Alliance Questionnaire II (HAq-II) as a self-report measure for individuals receiving treatment for a psychiatric disorder. Specifically, we examined the percent of patients who filled out the questionnaire, and when completed, whether there were any missing items. We also examined internal consistency and associations between patient variables and HAq-II scores. Methods: Between October 2013 and April 2014, we invited 45 individuals with a psychiatric disorder, who were also receiving music therapy, to fill out the HAq-II. We also collected clinical data from each person's record. Results: Thirty-one (69%) of the 45 invited patients filled out the HAq-II, and of those completed, only three had missing items. Of the 45 invited patients, thirty (67%) had a diagnosis of schizophrenia or other psychotic disorders, and 11 (24%) were diagnosed with other psychiatric disorders. In terms of diagnosis and other clinical variables, no statistically significant differences were found between the 31 patients who filled out the HAq-II and the 14 patients who did not return the questionnaire. The median HAq-II score was 5.11 (range 3.74-6.00), indicating a relatively high alliance. We did not find any statistically significant associations between the HAq-II scores and potential predictors of interest. The Cronbach's alpha was 0.85. Conclusions: Completion of the HAq-II was fairly high in this group of individuals with psychiatric diagnoses who were receiving music therapy. Internal consistency of the HAq-II was acceptable. Relatively high HAq-II scores suggest a high degree of therapeutic alliance, but the external validity of the HAq-II and the relationship between scores and therapy needs further evaluation. SN - 2053-7395 UR - https://www.unboundmedicine.com/medline/citation/28992114/Feasibility_of_Using_the_Helping_Alliance_Questionnaire_II_as_a_Self-Report_Measure_for_Individuals_with_a_Psychiatric_Disorder_Receiving_Music_Therapy. L2 - https://academic.oup.com/jmt/article-lookup/doi/10.1093/jmt/thx009 ER -